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Treatment of delayed ejaculation in men

 Treatment of delayed ejaculation in men

Most men suffer from the problem of premature ejaculation, but others may suffer from the opposite problem, which is the problem of delayed ejaculation. 

What is the treatment of delayed ejaculation in men?

Here is the most important information about the treatment of delayed ejaculation in men, and the reasons behind it:

Treatment of delayed ejaculation in men


Treatment of delayed ejaculation in men

Delayed ejaculation in men is defined as the difficulty or inability to reach orgasm and ejaculate semen for more than 30 minutes despite a normal erection.


There are several reasons responsible for delayed ejaculation in men, so the treatment depends on the cause of the problem

Here are the available treatments for delayed ejaculation in men:


1. Treatment of delayed ejaculation caused by psychological problems

Psychological problems and disorders are sometimes one of the causes of delayed ejaculation in men. 

Depression and anxiety, for example, hurt a man’s sexual life from a psychological, physical, and physiological side as well, which may lead to the problem of delayed ejaculation sometimes.

The treatment, in this case, is to follow psychotherapy with psychiatrists and take some drug treatments to solve psychological problems, according to the opinion of the specialist


2. Treatment of delayed ejaculation caused by nerve injuries

In the event of diseases related to the work of the nerves, which negatively affect the process of ejaculation in the man, the doctor may expose the man’s penis to special medical vibrations to help activate and stimulate the nerves again.


3. Treatment of delayed ejaculation caused by hormonal imbalance

The disruption of some hormones in a man affects his sexual ability and may lead to delayed ejaculation. 

Testosterone and prolactin are among the most important hormones that influence this.

Therapeutic testosterone supplementation increases blood flow to the penis, thereby increasing nerve sensitivity and improving sexual ability.

As for the prolactin hormone, or what is known as the milk hormone, its increase from the normal level leads to the stopping of the ejaculation process, and the treatment is to reduce the proportion of the hormone either by drug or surgical methods for the pituitary gland responsible for the production of prolactin.


4. Treatment of delayed ejaculation caused by taking some medications

Taking some medications, such as antidepressants, some medications to lower blood pressure, some diuretics, and some anti-schizophrenia and epilepsy lead to delayed ejaculation, so consulting a doctor is necessary to help change the treatment or reduce the dose.

Excessive drinking may also affect the problem of delayed ejaculation, so avoiding alcohol is necessary to treat the problem.


5. Treatment of delayed ejaculation caused by penis weakness

The presence of any external influences, the incidence of some diseases, or advanced age, are factors that affect the health of the penis and the man's sexual ability.

The problem can be helped by taking some medications that enhance sexual desire and ability. Such as Sildenafil or Tadalafil


Medicines for the treatment of delayed ejaculation in men

There is a set of studies and research based on finding some treatments that may help treat delayed ejaculation. Here are the most important studies about these drugs:


1. Cabergoline

Cabergoline activates dopamine receptors in the body, lowering the level of prolactin, and therefore it may contribute to the treatment of delayed ejaculation. 

On the other hand, it may increase the risk of heart muscle weakness and regurgitation of the heart valves.


2. Bupropion

Bupropion is one of the antidepressants used to stop smoking. It helps to increase the levels of norepinephrine and dopamine, so it may help treat delayed ejaculation. 

However, more research is needed on this.


3. Amantadine

Amantadine is one of the antiviral drugs used in the treatment of Parkinson's disease, and due to the effect on dopamine levels in the body, and according to studies in mice, it may help treat delayed ejaculation, and more research is also required.


4. Cyproheptadine

Cyproheptadine is an antihistamine, and in addition, it has anti-serotonin properties, making it a drug that may contribute to the treatment of delayed ejaculation.


5. Yohimbine

Yohimbine is one of the ancient treatments used in the treatment of erectile dysfunction in men, due to its effect on the level of norepinephrine and its increase. 

Studies have shown a role of this treatment in treating delayed ejaculation, but research is still required, of course.

Factors that increase the risk of delayed ejaculation

Here are the most important factors that may increase the risk of delayed ejaculation in men:

aging

Having depression or anxiety.

Having diabetes or multiple sclerosis.

Performing some surgeries, such as prostate surgery.

Drinking excessive alcohol.

Problems related to the relationship between spouses, from lack of understanding and harmony.

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